statewide overview of home visiting services in...

Statewide Overview of Home Visiting Services in Alabama

Results of Home Visiting Environmental Scan

2015 Snapshot

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Statewide Overview of Home Visiting Services in Alabama

Results of Home Visiting Environmental Scan

2015 Snapshot

September 20, 2016 Key Findings

• 5,220 families and 6,280 children ages birth to five years of age received home visiting services in Alabama in 2015

• 56 of Alabama’s 67 counties have home visiting services available; however, wide variability exists in numbers of children and families served within each county

• 14 different home visiting service delivery models are used in Alabama; most children and families receive home visiting through Parents as Teachers (PAT) or Home Instruction for Parents of Preschool Youngsters (HIPPY)

• The majority of Alabama children and families receives home visiting services through a model deemed effective and evidence-based by the U.S. Department of Health and Human Services

• Most home visiting services in Alabama are funded through federal dollars, followed by Education Trust Fund allocations

• To a lesser extent, home visiting is funded through private, community, and corporate foundation donations

• Most home visiting programs in Alabama are funded and administered by the Alabama Department of Early Childhood Education followed by the Alabama Department of Child Abuse and Neglect Prevention

• Most agencies that provide voluntary home visiting services report being full to capacity. The need for home visiting services frequently far outstrips their ability to provide these services, leaving children and families on waiting lists in many communities

Background In May, 2016, Alabama received a grant from The Alliance for Early Success to explore Home Visiting advocacy in our state. To support this effort, the grant team has planned a multi-phase environmental scan to support understanding of the current home visiting system in the state, including the number of children and families served, who provides home visiting services, what counties have access to home visiting, the service delivery models of home visiting used in the state, and funding sources of home visiting services. This project was completed through a partnership between the Alabama Partnership for Children (APC), the Alabama Department of Child Abuse and Neglect Prevention (ADCANP), the Alabama Department of Early Childhood Education (ADECE), and the University of Alabama at Birmingham School of Public Health

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(UAB-SOPH), Department of Health Care Organization and Policy. This report was prepared by Drs. Julie Preskitt, Matt Fifolt, Wei Su, and Ms. Beth Johns the UAB School of Public Health. Ms. Gail Piggott (APC), Dr. Tracye Strichik (ADECE), and Ms. Sallye Longshore (ADCANP) provided oversight and guidance for the process and report. For purposes of this project, “Home Visiting” was defined as follows:

…an evidence-based program that includes home visiting as a primary service delivery strategy (excluding programs with infrequent or supplemental home visiting), and is offered on a voluntary basis to expectant families, and families of children birth through kindergarten targeting participant outcomes which include improved maternal and child health, prevention of child injuries, child abuse, or maltreatment, and reduction of emergency department visits, improvement in school readiness and achievement, reduction in crime or domestic violence, improvements in family economic self-sufficiency, and improvements in the coordination and referrals for other community resources and supports.

(Modified from: HRSA/ACF Funding Opportunity Announcement, 7-1-10, page 7) Methods The existing Alabama Home Visiting Advisory Board provided input regarding the content and process to compete the environmental scan. This Board met in June, July, and August 2016 to provide guidance, review preliminary results, and discuss next steps. The final version of the report was presented to the Board during the September 2016 meeting. Phase I of the Home Visiting Environmental Scan included a survey to agencies that provide home visiting and subsequent follow-up interviews to confirm responses. Potential respondent contacts and agencies were identified from lists provided by the major funders of home visiting in the state (ADECE and ADCANP), lists from national sources related to the major service delivery models provided in the state, and the expert knowledge of Advisory Board members. With guidance regarding content by the Advisory Board, an electronic survey was created using Qualtrics software. In addition to the survey link, potential respondents were sent an explanatory email about the project and a step-by-step instruction sheet with screen shots to assist them gather the information needed to complete the survey and to support consistency of interpretation of the questions. A site-level report was created based on each response and follow-up interviews were conducted as needed and to the extent possible to verify the accuracy of responses. Respondents were requested to provide information based on their most recent annual report. Given that each site may have different fiscal cycles, the time periods covered differed, for consistency, we describe these results as a 2015 “snapshot.” The major funders for home visiting, ADECE and ADCANP, provided numbers of children and families served by their program sites that did not complete the electronic survey.

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UAB completed follow-up interviews with 30 program sites to further probe survey responses and to ask additional questions that have arisen during Advisory Board discussions. Results from sites and interviews are presented below. Results Respondents A total of 55 program sites either completed the electronic survey or had partial data provided on their behalf by a funder. These respondents work in sites in 56 different counties, and each site may serve one or more counties throughout the state. See Appendix A for a complete listing of program sites/agencies included in the 2015 snapshot. Reach and Numbers Served According to the most recently-submitted annual reports, a total of 5,220 families and 6,280 children ages birth to five years of age received home visiting services statewide. According to U.S. Census Bureau estimates, Alabama’s population is 4,858,979. Of that estimate, 6% – or 291,539 – are children under 5 years of age.1 Further, the most recent estimates suggest that 30.6% – or 89,211 children under age 5 are living in poverty in the state. Given these estimates and the number served reported in the 2015 snapshot, the Alabama Home Visiting System served approximately 7.0% of all children ages birth to 5 years who live in poverty. Though home visiting models have flexibility to focus on a variety of risk factors, families living in poverty are a fairly common group recruited to participate in home visiting services. Home visiting services are available in 56 of Alabama’s 67 counties (84%), though the numbers of children and families served vary greatly by county. Figure 1 provides a graphic view of home visiting program site/agency locations in the state. See Appendix B and Appendix C for a list of counties with and without access to home visiting services based on the 2015 snapshot report. Figure 2 presents a county-level overview of home visiting service access. The figure is intended to show access at any capacity and does not include any reference to numbers served by county. See Appendix D for a more detailed table of the numbers of children and families served by county. Based on the number of children age 5 and under living in poverty in the county, a percentage of potentially-eligible children served is presented for each county. The percent served ranges from none (counties with

Families Served:

5,220

Children Served:

6,280

Served 7.0% of

Alabama children age

5 and under living in

poverty

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no access to home visiting) to 52.9% for Perry County. Figure 1. Home visiting program sites/agencies in Alabama, 2015 Snapshot Report.

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Figure 2. Home visiting service access by county, 2015 Snapshot Report.

Service Delivery Models Home visiting services in Alabama are delivered using 14 different service delivery models, with a small number of respondents indicating they do not use a specific model. Respondents were provided a list of national service delivery models rated as effective by the U.S. Department of Health and Human Services (HHS) according to criteria for an evidence-based early childhood HV service delivery model.3 If the responding program implements a model other than one provided on the list, respondents could use an open-ended selection to provide the name of the model. Table 1 provides a brief description of national, evidence-based models implemented in Alabama and a listing of other models used by specific sites. See Appendix E for a detailed table of home visiting service delivery models implemented in each county, along with the agencies that provide services and associated funding sources.

= Home Visiting Available (n=56) = No Home Visiting Available (n=11)

• Autauga • Choctaw • Covington • Crenshaw • Fayette • Geneva • Henry • Lauderdale • Limestone • Pike • Washington

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Table 1. Home Visiting Service Delivery Models Implemented in Alabama, 2015 Snapshot Report

Service Delivery Model Description Early Head Start - Home-Based Option Community-based program for low-

income families with pregnant women, infants, and toddlers up to age 3; promotes parental development and a stimulating home environment

Healthy Families America (HFA) Promotes positive parenting to prevent child abuse and neglect and support child well-being; focuses on pregnant women and parents of children from birth to 5 years old

Home Instruction for Parents of Preschool Youngsters (HIPPY)

Peer parent educators partner with parents to prepare children for success in school, particularly those most at risk because of poverty, limited education and English proficiency; focuses on children ages 3-5 years old

Nurse Family Partnership (NFP) Nurses support first-time, low income pregnant women from pregnancy to child’s age 2 years to support healthy pregnancies, knowledgeable and competent parents, and improved economic self-sufficiency to provide babies with the best possible start in life

Parents as Teachers (PAT) Promotes optimal early development, learning, and health of children by supporting and engaging their parents and caregivers; focuses on pregnant women and parents of children from birth to 5 years old

Other Models Active Parenting Now Baby Talk Home Builders Intensive In Home Intervention (FIND Model) Parent Aid Model Parenting Counts Parenting Stress Index & individualized goal plan Partners for a Healthy Baby The Creative Curriculum – (home-based program)

Further discussion with individual sites is required to describe these other models

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Most children and families in Alabama are served through the Parents as Teachers (PAT) – 41% of families and 43% of children – and Home Instruction for Parents of Preschool Youngsters (HIPPY) – 35% of families and 32% of children. Figures 3 and 4 display a breakdown of home visiting services by service delivery model for families and children, respectively. Figure 3. Home visiting services for families by service delivery model, 2015 Snapshot Report.

Early Head Start - Home-Based Option

3% Healthy Families America (HFA)

2%


35%

Nurse-Family Partnership (NFP)

4%

Parents as Teachers (PAT) 41%

Other Models 15%

No specific model <1%

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Figure 4. Home visiting services for children by service delivery model, 2015 Snapshot Report.

Early Head Start - Home-Based Option

3% Healthy Families America (HFA)

1%


32%

Nurse-Family Partnership (NFP)

2%

Parents as Teachers (PAT) 43%

Other Models 18%

No specific model 1%

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The majority of families and children (86% and 84%, respectively) receive home visiting services through a service delivery model that has been rated effective by the U.S. Department of Health and Human Services (HHS) according to criteria for an evidence-based early childhood HV service delivery model.3 These service delivery models were listed by name in the survey and described in Table 1. Almost all others receive service though some type of formally-defined model. Figures 5 and 6 display service receipt through evidence-based delivery models for families and children, respectively. Figure 5. Families served in evidence-based models. Figure 6. Children served in evidence-based models.

Funding Sources The largest percentage of home visiting services in Alabama are funded through federal dollars – either through the Maternal, Infant, Early Childhood Home Visiting Program (MIECHV) or other federal funds, including Head Start/Early Head Start, Healthy Start, Title I, and Safe and Stable Families. MIECHV funds, administered by ADECE, comprise 33% of all home visiting services both for families and children. State funds from the Education Trust Fund (ETF) and administered by ADECE provide for the second largest percentages of home visiting services for families and children, at 27% and 25%, respectively. Support from the Children’s Trust Fund, administered by ADCANP, provides for the third largest percentages of home visiting services for families and children, at 17% and 20%, respectively. Private, community, or corporate foundation donations support 3% of families and children to receive home visiting services. Respondents also reported receiving other state and local funds to provide home visiting services, including support from Alabama Medicaid, the Alabama Department of Human Resources, and the Alabama Department of Mental Health. Figures 7 and 8 display a statewide breakdown of funding sources for home visiting services for families and children, respectively. See Appendix E for a detailed table of funding sources for home visiting in each county, along with a listing of agencies that provide services and the service delivery models implemented.

Evidence-Based Model

86%

Other Models

14%

No specific model <1.0%

Evidence-Based Model

84%

Other Models

16%

No specific model <1.0%

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Figure 7. Funding sources for home visiting services for families, 2015 Snapshot Report.

Children's Trust Fund 17%

Maternal, Infant, Early Child Home Visiting (MIECHV)

33%

Other state funds administered by

DECE - ETF 27%

Private, community, or

corporate foundation

3%

State Department of Education and/or local

school system

2%

United Way 1%

Other Federal Funds 10%

Other State/Local Funds

7%

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Figure 8. Funding sources for home visiting services for children, 2015 Snapshot Report.

Follow-up Interviews Follow-up interviews were conducted with survey respondents to clarify their initial responses and also to further probe their capacity to serve, the existence of waiting lists, and the number of additional families and children they might serve in their communities if they had more funding. Of the 55 responses to the initial survey (direct respondents and numbers added by funders for non-responding sites), 30 interviews were completed. This section provides analyses of themes that emerged from the interviews.

• Sites Are Full to Capacity: Almost all site representatives interviewed (93.3%, 28 of 30) said that they were able to fill all of the slots they currently had for home visiting services for families and children. Despite occasional lulls during staff changes, typically all slots available through current funding levels are full.

• Many Sites Have Waiting Lists: Representatives from 21 of the 30 sites (70%) said they typically have a waiting list for home visiting services. This means that there are additional families in the community that voluntarily seek home visiting services, but are unable to receive them as the site does not have the funding to serve them. The typical

Children's Trust Fund 20%

Maternal, Infant, Early Child Home Visiting (MIECHV)

33%

Other state funds administered by

DECE - ETF 25%

Private, community, or corporate foundation

3%

State Department of Education and/or

local school system 2%

United Way 1%

Other Federal Funds 10%

Other State/Local Funds

6%

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waiting list numbers range from two to three to as many as 45, with an average waiting list of 18 families. Representatives from four of the sites that indicated that they did not have a waiting list explained that this lack of a waiting list was not due to lack of need, but rather to creative ways they had found to serve additional families. In reality, they had exceeded their funded number of slots.

• Additional Funding Could Reduce Unmet Need for Home Visiting Services: Nearly all sites reported that, based on their understanding of the needs in their communities, they could serve additional families if they received more funding. The range of additional families that could be served ranged from 15 to 500, depending upon the site; the average number of additional families that could be served was 56. This means that, on average, 56 more families in each community could receive home visiting services if additional funding were provided.

Conclusions Voluntary home visiting services in Alabama are provided through a diverse delivery system of community-based agencies. Home visiting is available fairly broadly across the state, yet gaps exist and, in most places, the need outstrips the ability to provide, leaving children and families on waiting lists. The vast majority of home visiting services are provided according to an evidence-based model recognized as effective by the U.S. Department of Health and Human Services, meaning that the state is developing a high quality home visiting system. The most common models in the state are Parents and Teachers (PAT) and Home Instruction of Parents of Preschool Youngsters (HIPPY). The majority of home visiting services in the state are supported by the federal Maternal, Infant, Early Childhood Home Visiting Program (MIECHV), Education Trust Fund dollars administered by the Alabama Department of Early Childhood Education, and the Children’s Trust Fund (administered by the Alabama Department of Child Abuse and Neglect Prevention). Opportunities exist for increasing the capacity and reach of the home visiting system through additional funding to increase access to high quality, evidence-based services for vulnerable children and families in Alabama. Next Steps Phase II of this environmental scan will include:

• Adding all program sites/agencies to an interactive map currently hosted on the ADECE website to show sites, contact information, counties served, and numbers for each county

• Creating a static map of numbers served by state and county overlaid with children ages 0-5 years who live in poverty (U.S. Census Data)

Limitations This home visiting environmental scan is an ambitious project that has provided critical information about the system of home visiting in Alabama. It represents an initial look at capacity, organization, and funding at levels that have been previously unavailable. Despite essential contributions to awareness, knowledge, and advocacy, this report does have some important limitations that should be considered. First, the home visiting system in Alabama is complex, involving many community agencies and a variety of funding streams. This report is

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only as complete as the responses received or for whom data were available through a central funder. Despite exhaustive efforts to create a comprehensive list of potential respondents, it is possible that some program sites could have been omitted from the request to complete the survey if they were not on any of the lists used to develop the respondent pool and/or if they were unknown to Home Visiting Advisory Board members. We consider this report a 2015 snapshot and expect that once it becomes publically available, the broader community will assist in identifying additional sites that provide home visiting as a primary means of delivering services to children and families but were inadvertently omitted from the initial respondent pool. Further, despite instructions that clarified the funding stream question and follow-up interviews, it was difficult for some sites to identify the numbers of children and families served with each funding stream if they blended or braided dollars from multiple local sources to support their program. Multiple funding streams and exact budget amounts may need further clarification with funders and grant administrators. Currently, it is difficult to determine an exact response rate to the initial survey. We know who responded, but in some cases the person who received the initial request to participate may have delegated responsibility to another staff member or multiple staff members. All responses were combined and any potential discrepancies were verified by programs to eliminate duplication, yet the complexity of the system, with the potential for delegated and/or multiple respondents prevented a calculation of a response rate. Some sites registered incomplete reporting data as they did not participate in the initial survey. UAB was able to verify data for some non-responders through the funding agent in terms of numbers served through their specific funding source, but values could be an underestimate or incomplete picture if the site also served additional children with other funding types.

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Appendix A. Local program sites/agencies included in the 2015 snapshot report

1. Alabama Council on Human Relations, Inc.

2. Alexander City Board of Education 3. Alfred Saliba Family Services Center 4. AltaPointe Health Systems, Inc. 5. Catholic Social Services for Family

Service Center - Bay Minette 6. Child Care Resource Center 7. Chisholm Prevention Program 8. Circle of Care Center for Families 9. Community Action Partnership of

North Alabama 10. Cramer Children's Center 11. Dallas County Board of Education

(HIPPY) 12. East Alabama Mental Health--

Special Deliveries 13. Easter Seals West Alabama 14. Eufaula City Schools 15. Exchange Club CAP Center 16. Family Guidance Center of Alabama 17. Family Services Center of Coffee

County 18. FIRST Family Service Center 19. Gateway 20. Gift of Life Foundation 21. Goodwill Easter Seals of the Gulf

Coast 22. Healthy Kids Home Visitation

Program 23. HIPPY of Clarke County 24. HIPPY of Conecuh 25. HIPPY of Coosa County 26. HIPPY of Elmore County 27. HIPPY of Fort Payne City Schools

28. HIPPY of Hale County 29. HIPPY of Madison City Schools 30. HIPPY of Monroe County 31. HIPPY of Montgomery Public

Schools 32. HIPPY of Saliba Center 33. HIPPY of Sheffield 34. HIPPY of Wilcox 35. Hope Place Family Resource Center 36. Jasper Area Family Services Center 37. Jefferson County Committee for

Economic Opportunity (JCCEO) 38. Lawrence County Schools Teen

Parents as Teachers 39. Lowndes County Board of Education

(HIPPY) 40. Macon County Board of Education

(HIPPY) 41. Marshall County Schools 42. Marshall-Jackson 310 Agency 43. Mobile County Health Department 44. National Children's Advocacy Center 45. Parents and Children Together 46. Perry County Schools 47. SAFE Sylacauga Alliance for Family

Enhancement 48. Shelby County 49. Springboard Education Foundation 50. TCR Childcare Corp. 51. Tuscaloosa City Board of Education 52. UAB Early Head Start Program 53. United Cerebral Palsy of Greater

Birmingham 54. United Cerebral Palsy of Mobile 55. United Way's Success By 6 Program

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Appendix B. Counties with access to home visiting services at any capacity, 2015 snapshot report

1. Baldwin 2. Barbour 3. Bibb 4. Blount 5. Bullock 6. Butler 7. Calhoun 8. Chambers 9. Cherokee 10. Chilton 11. Clarke 12. Clay 13. Cleburne 14. Coffee 15. Colbert 16. Conecuh 17. Coosa 18. Cullman 19. Dale 20. Dallas 21. De Kalb 22. Elmore 23. Escambia 24. Etowah 25. Franklin 26. Greene 27. Hale 28. Houston

29. Jackson 30. Jefferson 31. Lamar 32. Lawrence 33. Lee 34. Lowndes 35. Macon 36. Madison 37. Marengo 38. Marion 39. Marshall 40. Mobile 41. Monroe 42. Montgomery 43. Morgan 44. Perry 45. Pickens 46. Randolph 47. Russell 48. Shelby 49. St. Clair 50. Sumter 51. Talladega 52. Tallapoosa 53. Tuscaloosa 54. Walker 55. Wilcox 56. Winston

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Appendix C. Counties with no access to home visiting services reported, 2015 snapshot report

1. Autauga 2. Choctaw 3. Covington 4. Crenshaw 5. Fayette 6. Geneva 7. Henry 8. Lauderdale 9. Limestone 10. Pike 11. Washington

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Appendix D. Families and children served by home visiting by county with select demographics and percent of potentially-eligible children served, 2015 snapshot report

County Families Served by

Home Visiting

Children Served by

Home Visiting

Children Under Age 5,

20141

Percent Children

Under Age 5 in Poverty, 2009-20132

Children Under Age 5 in Poverty3

Percent of Potentially-

Eligible Children Served by

Home Visiting4

Autauga n/a n/a 3,325 22.2% 738 n/a Baldwin 279 436 11,175 24.6% 2,749 15.9% Barbour 45 45 1,524 51.9% 791 5.7% Bibb 27 33 1,203 50.4% 606 5.4% Blount 7 7 3,522 29.7% 1,046 0.7% Bullock 19 26 677 32.8% 222 11.7% Butler 78 113 1,230 50.1% 616 18.3% Calhoun 46 59 6,651 35.1% 2,335 2.5% Chambers 64 79 2,016 37.5% 756 10.4% Cherokee 31 40 1,249 37.5% 468 8.5% Chilton 15 16 2,826 30.4% 859 1.9% Choctaw n/a n/a 657 27.4% 180 n/a Clarke 65 65 1,387 48.7% 675 9.6% Clay 17 17 721 21.3% 154 11.1% Cleburne 24 35 858 17.2% 148 23.7% Coffee 54 79 3,098 28.8% 892 8.9% Colbert 59 76 3,091 34.9% 1,079 7.0% Conecuh 42 42 700 43.3% 303 13.9% Coosa 55 58 519 33.6% 174 33.3% Covington n/a n/a 2,221 27.1% 602 n/a Crenshaw n/a n/a 857 21.5% 184 n/a Cullman 15 15 4,817 27.8% 1,339 1.1% Dale 167 195 3,139 27.3% 857 22.8% Dallas 44 55 2,795 67.3% 1,881 2.9% De Kalb 77 112 4,401 35.9% 1,580 7.1% Elmore 45 46 4,799 26.5% 1,272 3.6% Escambia 60 76 2,294 44.8% 1,028 7.4% Etowah 34 41 5,953 33.7% 2,006 2.0% Fayette n/a n/a 903 31.5% 284 n/a Franklin 40 54 2,092 40.6% 849 6.4% Geneva n/a n/a 1,551 34.9% 541 n/a Greene 16 19 504 74.1% 373 5.1% Hale 47 57 939 43.1% 405 14.1% Henry n/a n/a 943 19.4% 183 n/a Houston 218 226 6,496 33.8% 2,196 10.3% Jackson 18 18 2,858 18.4% 526 3.4% Jefferson 335 446 43,498 30.0% 13,049 3.4% Lamar 15 15 1,017 25.6% 260 5.8% Lauderdale n/a n/a 4,838 32.5% 1,572 n/a Lawrence 35 38 1,791 25.9% 464 8.2% Lee 161 213 8,952 26.5% 2,372 9.0% Limestone n/a n/a 5,338 26.6% 1,420 n/a Lowndes 70 79 710 48.5% 344 22.9% Macon 50 72 922 52.7% 486 14.8% Madison 123 135 20,404 22.4% 4,570 3.0% Marengo 18 21 1,209 31.7% 383 5.5%

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County Families Served by

Home Visiting

Children Served by

Home Visiting

Children Under Age 5,

20141

Percent Children

Under Age 5 in Poverty, 2009-20132

Children Under Age 5 in Poverty3

Percent of Potentially-

Eligible Children Served by

Home Visiting4

Marion 44 66 1,622 33.2% 539 12.3% Marshall 132 178 6,222 31.6% 1,966 9.1% Mobile 462 456 27,610 36.6% 10,105 4.5% Monroe 109 116 1,204 51.1% 615 18.9% Montgomery 804 946 15,358 39.5% 6,066 15.6% Morgan 80 105 7,231 29.3% 2,119 5.0% Perry 117 130 543 45.3% 246 52.9% Pickens 22 28 1,052 38.0% 400 7.0% Pike n/a n/a 1,888 34.6% 653 n/a Randolph 21 27 1,276 44.3% 565 4.8% Russell 49 77 4,529 30.9% 1,399 5.5% St. Clair 1 1 5,328 20.2% 1,076 0.1% Shelby 83 109 12,383 13.1% 1,622 6.7% Sumter 18 23 626 47.5% 297 7.7% Talladega 257 330 4,470 39.6% 1,770 18.6% Tallapoosa 100 124 2,372 32.1% 761 16.3% Tuscaloosa 213 183 12,127 26.6% 3,226 5.7% Walker 69 84 3,829 36.0% 1,378 6.1% Washington n/a 0 821 37.0% 304 n/a Wilcox 88 97 633 70.3% 445 21.8% Winston 36 41 1,219 44.2% 539 7.6% 1. Alabama Kids Count Data Book, 2015. Voices for Alabama’s Children. pp.12 2. Alabama Kids Count Data Book, 2015. Voices for Alabama’s Children. pp.54 3. Calculated by applying the percent of children under age 5 (column 5) to the total population of children under

age 5 in the county (column 4). 4. Calculated by creating a percentage from the number of children served in the county (column 3) divided by

the number of children under age 5 in poverty in the county (column 6).

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Appendix E. Agencies that provide home visiting, models implemented, and funding sources by county, 2015 snapshot report

County Agencies that Provide Home Visiting in County

Home Visiting Models Implemented in County

Funding Source(s) for Home Visiting in County

Autauga n/a n/a n/a Baldwin • AltaPointe Health Systems, Inc.

• Catholic Social Services for Family Service Center - Bay Minette

• Goodwill Easter Seals of the Gulf Coast

• Active Parenting Now • Home Builders • Home Instruction for Parents of Preschool

Youngsters (HIPPY) • Intensive In Home Intervention (FIND

Model)

• Children's Trust Fund- administered by ADCANP

• Education Trust Fund-Other State Funds administered by ADECE

• Private, community, or corporate foundation • Other

Barbour • Eufaula City Schools • Home Instruction for Parents of Preschool Youngsters (HIPPY)


Bibb • Easter Seals West Alabama • Parents as Teachers (PAT) • Maternal, Infant, Early Child Home Visiting (MIECHV)

Blount • United Cerebral Palsy of Greater Birmingham

• Parents as Teachers (PAT) • Maternal, Infant, Early Child Home Visiting (MIECHV)

Bullock • Family Guidance Center of Alabama • Parents as Teachers (PAT) • Maternal, Infant, Early Child Home Visiting (MIECHV)

Butler • Family Guidance Center of Alabama • Healthy Kids Home Visitation Program

• Baby Talk • Home Instruction for Parents of Preschool

Youngsters (HIPPY) • Parents as Teachers (PAT)



• Maternal, Infant, Early Child Home Visiting (MIECHV)

Calhoun • TCR Childcare Corp. • Parents as Teachers (PAT) • Maternal, Infant, Early Child Home Visiting (MIECHV)

Chambers • Child Care Resource Center • Circle of Care Center for Families

• Parenting Counts • Parents as Teachers (PAT) • The Creative Curriculum



Cherokee • TCR Childcare Corp. • Parents as Teachers (PAT) • Maternal, Infant, Early Child Home Visiting (MIECHV)

Chilton • Easter Seals West Alabama • Parents as Teachers (PAT) • Maternal, Infant, Early Child Home Visiting (MIECHV)

Choctaw n/a n/a n/a Clarke • HIPPY of Clarke County • Home Instruction for Parents of Preschool

Youngsters (HIPPY) • Education Trust Fund-Other State Funds

administered by ADECE • Private, community, or corporate foundation

Clay • SAFE Sylacauga Alliance for Family Enhancement

• Parents as Teachers (PAT) • Maternal, Infant, Early Child Home Visiting (MIECHV)

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Cleburne • TCR Childcare Corp. • Parents as Teachers (PAT) • Maternal, Infant, Early Child Home Visiting (MIECHV)

Coffee • Family Services Center of Coffee County • Parents as Teachers (PAT) • Children's Trust Fund- administered by ADCANP

• United Way Colbert • Cramer Children's Center

• HIPPY of Sheffield • Home Instruction for Parents of Preschool




Conecuh • HIPPY of Conecuh • Home Instruction for Parents of Preschool Youngsters (HIPPY)


Coosa • HIPPY of Coosa County • SAFE Sylacauga Alliance for Family

Enhancement

• Home Instruction for Parents of Preschool Youngsters (HIPPY)

• Parents as Teachers (PAT)



Covington n/a n/a n/a Crenshaw n/a n/a n/a Cullman • United Cerebral Palsy of Greater

Birmingham • Parents as Teachers (PAT) • Maternal, Infant, Early Child Home Visiting

(MIECHV) Dale • HIPPY of Saliba Center • Home Instruction for Parents of Preschool

Youngsters (HIPPY) • Children's Trust Fund- administered by

ADCANP • Private, community, or corporate foundation • State Department of Education and/or local

school system Dallas • Dallas County Board of Education (HIPPY)

• Family Guidance Center of Alabama • Home Instruction for Parents of Preschool




De Kalb • Community Action Partnership of North Alabama

• HIPPY of Fort Payne City Schools





Elmore • HIPPY of Elmore County • Home Instruction for Parents of Preschool Youngsters (HIPPY)


Escambia • Goodwill Easter Seals of the Gulf Coast • Hope Place Family Resource Center




• Private, community, or corporate foundation • Other

Etowah • United Way's Success By 6 Program • Parents as Teachers (PAT) • Children's Trust Fund- administered by

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ADCANP Fayette n/a n/a n/a Franklin • Cramer Children's Center • Parents as Teachers (PAT) • Maternal, Infant, Early Child Home Visiting

(MIECHV) Geneva n/a n/a n/a Greene • Easter Seals West Alabama • Parents as Teachers (PAT) • Maternal, Infant, Early Child Home Visiting

(MIECHV) Hale • Easter Seals West Alabama

• HIPPY of Hale • Home Instruction for Parents of Preschool



• State Department of Education and/or local school system

Henry n/a n/a n/a Houston • Alfred Saliba Family Services Center

• HIPPY of Saliba Center • Early Head Start - Home-Based Option • Home Instruction for Parents of Preschool

Youngsters (HIPPY)



• Private, community, or corporate foundation • Other Federal Funds - Head Start/Early Head

Start Jackson • Marshall-Jackson 310 Agency • Parents as Teachers (PAT) • Children's Trust Fund- administered by

ADCANP • United Way

Jefferson • Exchange Club CAP Center • Family Guidance Center of Alabama • Jefferson County Committee for Economic

Opportunity (JCCEO) • UAB Early Head Start Program • United Cerebral Palsy of Greater

Birmingham

• Early Head Start - Home-Based Option • Parent Aid Model • Parenting Stress Index and individualized

goal plan • Parents as Teachers (PAT)



• Other Federal Funds - Head Start/Early Head Start

Lamar • Easter Seals West Alabama • Parents as Teachers (PAT) • Maternal, Infant, Early Child Home Visiting (MIECHV)

Lauderdale n/a n/a n/a Lawrence • Lawrence County Schools Teen Parents as

Teachers • Parents as Teachers (PAT) • Children's Trust Fund- administered by

ADCANP Lee • Alabama Council on Human Relations, Inc.

• Child Care Resource Center • East Alabama Mental Health--Special

Deliveries

• Partners for a Healthy Baby • The Creative Curriculum



• Other Federal Funds - Head Start/Early Head

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Start • Other public and private funds • Other • United Way

Limestone n/a n/a n/a Lowndes • Family Guidance Center of Alabama

• Lowndes County Board of Education (HIPPY)

• Springboard Education Foundation






Macon • Family Guidance Center of Alabama • Macon County Board of Education (HIPPY)





Madison • HIPPY of Madison City Schools • National Children's Advocacy Center

• Healthy Families America • Home Instruction for Parents of Preschool

Youngsters (HIPPY)



• Other federal funds - Safe and Stable Families; Title 1

Marengo • Easter Seals West Alabama • Parents as Teachers (PAT) • Maternal, Infant, Early Child Home Visiting (MIECHV)

Marion • Cramer Children's Center • Parents as Teachers (PAT) • Maternal, Infant, Early Child Home Visiting (MIECHV)

Marshall • Community Action Partnership of North Alabama

• Marshall County Schools • Marshall-Jackson 310 Agency

• Parents as Teachers (PAT) • Children's Trust Fund- administered by ADCANP


• United Way Mobile • AltaPointe Health Systems, Inc.

• Goodwill Easter Seals of the Gulf Coast • Mobile County Health Department • United Cerebral Palsy of Mobile


• Intensive In Home Intervention (FIND Model)





• State Department of Education and/or local school system

• Other Monroe • Goodwill Easter Seals of the Gulf Coast • Home Instruction for Parents of Preschool • Education Trust Fund-Other State Funds

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• HIPPY of Monroe County Youngsters (HIPPY) • Parents as Teachers (PAT)

administered by ADECE • Maternal, Infant, Early Child Home Visiting

(MIECHV) Montgomery • Chisholm Prevention Program

• Family Guidance Center of Alabama • Gift of Life Foundation • HIPPY of Montgomery Public Schools


• Nurse-Family Partnership (NFP) • Parents as Teachers (PAT)




• Other federal funds - Healthy Start; Title 1 • Private, community, or corporate foundation • United Way • Other

Morgan • Parents and Children Together • Parents as Teachers (PAT) • Children's Trust Fund- administered by ADCANP


Perry • Perry County Schools • Home Instruction for Parents of Preschool Youngsters (HIPPY)


Pickens • Easter Seals West Alabama • Parents as Teachers (PAT) • Maternal, Infant, Early Child Home Visiting (MIECHV)

Pike n/a n/a n/a Randolph • TCR Childcare Corp. • Parents as Teachers (PAT) • Maternal, Infant, Early Child Home Visiting

(MIECHV) Russell • Alabama Council on Human Relations, Inc.

• Family Guidance Center of Alabama • Early Head Start - Home-Based Option • Parents as Teachers (PAT)



St. Clair • UAB Early Head Start Program • Early Head Start - Home-Based Option • Other Federal Funds - Head Start/Early Head Start

Shelby • Gateway • Shelby County


• Parenting Stress Index and individualized goal plan

• Parents as Teachers (PAT) • No Specific Model




• Other Sumter • Easter Seals West Alabama • Parents as Teachers (PAT) • Maternal, Infant, Early Child Home Visiting

(MIECHV)

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Talladega • FIRST Family Service Center • SAFE Sylacauga Alliance for Family

Enhancement

• Active parenting Now • Home Instruction for Parents of Preschool





Tallapoosa • Alexander City Board of Education • TCR Childcare Corp.





Tuscaloosa • Easter Seals West Alabama • Tuscaloosa City Board of Education


• Nurse-Family Partnership (NFP) • Parents as Teachers (PAT)



Walker • Easter Seals West Alabama • Jasper Area Family Services Center • UAB Early Head Start Program

• Early Head Start - Home-Based Option • Home Instruction for Parents of Preschool





• Private, community, or corporate foundation Washington n/a n/a n/a Wilcox • Family Guidance Center of Alabama

• HIPPY of Wilcox • Home Instruction for Parents of Preschool




Winston • Cramer Children's Center • Parents as Teachers (PAT) • Maternal, Infant, Early Child Home Visiting (MIECHV)

NOTE: Information related to agency, home visiting service delivery model, and funding source is listed alphabetically for each county. Models and funding sources are not one-to-one matches with agencies.

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References

1. U.S. Census Bureau, Population Estimates Program (PEP), Updated annually. July 1, 2015, (V2015) http://www.census.gov/popest/. U.S. Census Bureau, 2010 Census of Population, P94-171 Redistricting Data File. Updated every 10 years. http://factfinder.census.gov

2. U.S. Census Bureau, Small Area Income and Poverty Estimates. 2014 Under Age 5 in

Poverty Estimate. http://www.census.gov/did/www/saipe/data/interactive/saipe.html?s_appName=saipe&map_yearSelector=2014&map_geoSelector=u5_s&s_measures=u5_s

3. Avellar S, Paulsell D, Sama-Miller E, Del Grosso P. Home Visiting Evidence of Effectiveness Review: Executive Summary. OPRE Report # 2013-42. Washington, DC: US Department of Health and Human Services; September 2013, Rev June 2014.

http://www.census.gov/popest/

http://factfinder.census.gov/

http://www.census.gov/did/www/saipe/data/interactive/saipe.html?s_appName=saipe&map_yearSelector=2014&map_geoSelector=u5_s&s_measures=u5_s

http://www.census.gov/did/www/saipe/data/interactive/saipe.html?s_appName=saipe&map_yearSelector=2014&map_geoSelector=u5_s&s_measures=u5_s

statewide overview of home visiting services in...

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